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SSS vs Infected Pacemaker

S

Subha

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Location
Rancho Palos Verdes, CA
post op dx: Sick sinus syndrome status post pacemaker
Infected pacemaker
Procedure: removal of pacemaker
What is principal dx: Sick sinus syndrome or complication cardiac device?:confused:
 
Subha said:
post op dx: Sick sinus syndrome status post pacemaker
Infected pacemaker
Procedure: removal of pacemaker
What is principal dx: Sick sinus syndrome or complication cardiac device?:confused:
Click to expand...

The principal diagnosis is always the medical necessity (reason) for the encounter. This patient is not having the pacer removed because they have SSS, they are having it removed because of a complication (infection) due to the presence of the pacemaker. You can use SSS as a secondary diagnosis to show why they had the pacer implant initially.
 
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